Brenna Osullivan Counseling Llc | |
125 Forest Ave Suite 10956 Portland ME 04104-4919 | |
(207) 820-2544 | |
Not Available |
Full Name | Brenna Osullivan Counseling Llc |
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Speciality | Community/behavioral Health |
Location | 125 Forest Ave, Portland, Maine |
Authorized Official Name and Position | Brenna O'sullivan (OWNER) |
Authorized Official Contact | 2078202544 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brenna Osullivan Counseling Llc 125 Forest Ave Suite 10956 Portland ME 04104-4919 Ph: () - | Brenna Osullivan Counseling Llc 125 Forest Ave Suite 10956 Portland ME 04104-4919 Ph: (207) 820-2544 |
NPI Number | 1386416113 |
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Provider Enumeration Date | 10/25/2023 |
Last Update Date | 10/25/2023 |
Certification Date | 10/24/2023 |
Identifier | Type | State | Issuer |
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1386416113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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